Pregestational excess weight, maternal obstetric complications and mode of delivery in the Rhea cohort in Crete

European Journal of Public Health
Maria VassilakiManolis Kogevinas

Abstract

There has been a significant increase in overweight and obesity worldwide reaching global epidemic, with dramatic increase also among women of reproductive age or entering pregnancy. Aims of the study were to estimate the prevalence of maternal pregestational overweight and obesity and their association with and contribution to maternal obstetric complications and mode of delivery. One thousand two hundred eighty-six women with singleton pregnancies were followed-up prospectively from early pregnancy to delivery in Crete. The prevalence of pre-pregnancy overweight and obesity were 20 and 11.5%, respectively. After adjusting for potential confounders, overweight and/or obesity were associated with an increased risk for caesarean deliveries [RR(overweight_vs._normal) BMI = 1.21, 95% CI (1.06, 1.38), RR(obese_vs._normal) BMI = 1.21, 95% CI (1.02, 1.42)], gestational diabetes mellitus [RR(obese_vs._normal) BMI = 2.11, 95% CI (1.28, 3.47)] and high blood pressure [RR(severy.obese_vs._normal) BMI = 3.32, 95% CI (1.36, 8.06)] any time in pregnancy. Pre-pregnancy excess weight has potentially contributed to 21% of planned caesarean deliveries in primiparae (almost 45% of such cases among overweight/obese primiparea were potentially att...Continue Reading

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Citations

May 29, 2016·European Journal of Obstetrics, Gynecology, and Reproductive Biology·M A Kennelly, F M McAuliffe

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